Social influences together with local cultural norms are central factors that can influence the use of alcohol. The study, therefore, identified socio-cultural norms and roles capable of influencing alcohol use among young people in an alcohol producing community, in Nigeria. We used qualitative technique - focused group discussions among selected key persons in the area of study. Three groups; adult males, adult females and youths were engaged in discussions around the themes of socio-cultural; norms, roles, beliefs, values and practices that influences alcohol abuse. The focus group discussions lasted for 60-90 min and each group comprised 8-10 participants. The discussions took place in February 2016. Nine socio-cultural themes emerged following a thematic analysis of the findings, one of which is: Involvement of those who should control drinking in palm wine business hinder control of abuse. Using Vygotsky's Socio-cultural theory guide, the researchers were able to provide the scaffolding that supported the expression of the harmful effect of alcohol abuse and suggestions for improving control by participants.
Background Drug abuse is an issue that affects all people regardless of gender, race, ethnicity, age, or socioeconomic status. It is associated with a range of physical, social, and economic consequences at both individual and community levels. Community involvement is necessary for effective drug abuse prevention. Communities need to be ready for such involvement. Methods We applied the Community Readiness Model and its assessment tool to determine the level of readiness for prevention of drug abuse in Obukpa and Ubollo communities of Nsukka and Udenu Local Government Areas of Enugu North Senatorial zone, Nigeria. Community Readiness Model and the Tool are very useful in identifying gaps in community readiness and capacity as well as guiding strategies for community initiatives. Twelve key informant interviews were conducted and analyzed according to procedures outlined in the Community Readiness handbook. Results The results of the study showed that members of Obukpa and Ubollo communities were at the vague awareness stage. SWOT analysis of the qualitative data revealed the strengths, weaknesses, opportunities and threats within the communities for an intended intervention to increase level of readiness. One such strength is the church, which was identified as a viable means of disseminating information on drug abuse prevention in both communities. Conclusion Rural communities are vulnerable to drug-related problems as a result of low levels of awareness of the dangers of drug abuse. The findings of this study provided strategies and directions for future intervention programmes in the study area. Nurses and other health personnel involved in Community Health Education should take cognizance of the strengths, weaknesses and opportunities within the communities in designing drug abuse prevention intervention programmes.
Drug abuse among any population is harmful and constitutes an issue of great concern for health professionals and the entire community. This study focuses on identification of level of drug use and community concerns for preventing drug abuse in two rural communities in Enugu north senatorial zone, Enugu State, Nigeria. We conducted a community-based cross sectional study in Enugu North senatorial zone of Enugu state Nigeria. All adults and youths 10 years and above who were residing in the communities for the past two years were the study population. Simple random sampling by balloting was used to select two communities. Proportionate random sampling was used to select 290 participants comprising 147 males and 133 females for the study. Questionnaire was used to collected data. The data were analyzed by using IBM Statistical Package for Social Science version 20. Descriptive statistics, chi square, Fisher's exact test and the Monte Carlo test were computed for the data. The most commonly used substances by community members were alcohol, cigarette and cannabis. Greater proportion of community members (57%) frown at abuse of substances. Majority of community members (87%) wished that drug abuse will stop in the community, 3.6% do not wish that it will stop and 9.4% do not care whether it stopped or not. The study has revealed areas of community concern and lack of concern for preventing drug abuse. These are hoped to guide drug abuse prevention intervention in the area of study.
Background: Female genital mutilation (FGM) is a public health challenge and seems to be secretly practiced in some rural communities, despite the ban in Nigeria. Objectives: The study aimed to identify the activities that are involved in FGM, type(s) of FGM practiced and the knowl- edge of health implications of FGM among rural community members in Ebonyi State, Nigeria. Methods: We employed exploratory design using qualitative technique. In-depth interviews were conducted with 44 adult (18 years and older) volunteers in four rural communities in Ebonyi State, Nigeria. After thematic analysis using NVivo 11 Pro software, eight sub-themes emerged, among which are: types of FGM practiced, seasons for FGM, FGM by health workers and community leaders, punishment for refusing FGM and knowledge of health implications of FGM. Results: Findings show that FGM is more like a process than just an act, and type most practiced in the study area is Type 1. Circumcisers are health workers and women leaders. Knowledge of health implications of FGM was found to be low among those interviewed. Conclusion: Based on the findings, we concluded that FGM is still practiced in some rural communities in Nigeria, maybe because of poor knowledge of health implications of FGM. Keywords: Female genital mutilation; qualitative study; practice; health implications; Nigeria.
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